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1114911369
IGOR EVAN MATWIJIW
TEXARKANA, TX
NPI
1114911369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism
(Licence: TX J4910)
Enumeration Date
2005-09-02
Last Update Date
2021-06-22
Business Address
IGOR EVAN MATWIJIW M.D.
2602 SAINT MICHAEL DR STE 201B
TEXARKANA, TX 75503-2320
Phone number: 903-614-5530
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Mailing Address
IGOR EVAN MATWIJIW M.D.
919 HIDDEN RDG
IRVING, TX 75038-3813
Phone number: 469-282-2711
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